Combined receipt and record sheet.



I. S. BLATTNER.

COMBINED RECEIPT AND RECORD SHEET.

APPLICATION FILED MAYZS, 1915- 1,]. 84,41 1. Patented May 23, 1916. fiL-Li Fae-1 2 f g $111 dame @LdA/uwo WITNESSES INVENTOR J1 7- lifilaziner ATTORNEYS ISRAEL S. BLATTNER, 0F MCKEESPORT, PENNSYLVANIA.

COMBINED RECEIPT AND RECORD SHEET.

Specification of Letters Patent.

Patented May 23, 1916.

Application filed May 25, 1915. Serial No. 80,263.

1 b all whom it may concern:

Be it known that I, ISRAEL S. BLATTNER, a citizen of the United States, residing at McKeesport, in the county of Allegheny and State of Pennsylvaniznhave invented certain new and useful Improvements in Combined Receipt and Record Sheets, of which the following is a specification.

This invention relates to a combined receipt and record sheet for use in connection with a millinery establishment and has for its object to provide means in a manner as hereinafter set forth for use as a customers receipt, work-shop instruction, and record sheet and recording sheet.

Further objects of the invention are to provide a combined receipt and record sheet which is efiicient and convenient in its use, durable and inexpensive.

With the foregoing and other objects in view the invention consists of the novel construction, combination and arrangement of parts as hereinafter more specifically de scribed and illustrated in the accompanying drawing, wherein is shown an embodiment of the invention, but it is to be understood that changes, variations and modifications can be resorted to which come within the scope of the claim hereunto appended.

In the drawings wherein like reference characters denote corresponding parts throughout the several views :Figure 1 is a front view of a combined receipt and record sheet. Fig. 2 is a rear view.

The sheet is adapted primarily for millin ery establishments and is formed from a rectangular strip of flexible material, having trans verse extending weakened portions 1, 2, 3, to form the strip into a series of separable sections at, 5, and 6. The section 5 is formed between the weakened lines 2 and 3, the section 4: at the end of the strip and to one side of the weakened line 3, and the section 6 is formed between the weakened lines 1 and 2. The section 4 is of a width less than the length of either of the sections 5 and 6, while these latter sections are of the same size. The section 4 is termed the receipt section or slip, the section 6 a work-shop instruction and record section or slip, and the section 5 a recording section.

When the combined receipt and record sheet is used, the outer face of the section 5 is folded upon the outer face of the section 6 and the inner face of the section 4. is folded upon the inner face of the section 5.

The section 4 has its outer face provided wlth conventional means as at 7 to indicate the name of the party issuing the receipt slip and is furthermore provided with a suitable designated rectangular space 8 for the reception of the symbol of a clerk making the sale. The section t is furthermore provided with a designated line 9 for the reception of the name of the purchaser and said section f has designated spaces 10 to receive the cost of the purchase and has further designated spaces 11 for the reception of the amount of money paid by the purchaser for the article.

The section 6 has its outer face provided with a suitable designated space 12 to re ceive the symbol of the clerk making the sale and said section 6 has a designated line 13 to receive the date of the sale and a designated line 14: for the reception of the number of the check.

The outer face of the section '6 below the designated lines 13, 14, has a series of suitable designated lines 15, 16 and 17 for the reception respectively of the date, when the work is to be done, and the name and address of the purchaser. At one side of the lines 15, 16 and 17 the section 6 is provided with designated spaces 18 in which is re corded the cost of the purchase and below the spaces 18 the section 6 has conventional designated spaces 19 in which is recorded the amount of money paid by the purchaser for the article. Below the spaces 19 suitable designated spaces 20, 21 are arranged in which are recorded respectively the balance due upon the work.

The outer face of the section 6, below the spaces 20, 21, is provided with transverse lines 22 and horizontal extending lines 23 to provide two sets of horizontally disposed rows of spaces. The rows of spaces of each set are arranged in parallelism and the said parallel rows of spaces of each set are inclicated at 24, 25, 26, 27, 28, 29 and 30. The spaces of the row 24 are provided with headings, by way of example one space with the word material, the other with the abbreviation of the word yards, another cost of the material, another the total cost of the material.

The first spaces of the rows of spaces 25 to 29, has arranged therein the character of material purchased, by way of example shape, velvets, ribbon, flowers, feathers, buckle, wing, and which material is necessary in the milliners art for the purpose of building hats. The first space of the row of spaces 30 hasthe word total therein. Below the sets of spaces the section 6 has a series of designated lines 31 for the reception of any suitable data in connection with the order.

The rear face of the section is set up in the same manner as the front face of the section (5 and it is thought unnecessary to v specifically describe the rear face of the section 5 for the reason that the description of the front face of the section (3 applies to the rear face of the section 5.

It will be assumed that the combined re ceipt and record sheet will be used and under such conditions the front face of the section 5 is placed upon the front face of the section 6 and a sheet of carbon paper interposed between the two sections, a record is then made upon the section 5 and owing to the position of the carbon paper a record is also made upon the sheet 6. The record contains the symbol of the clerk making the sale and which is placed in the space 12 and also the date of the sale is indicated at the proper point, as well as the number of the sheet.

It will be stated that the sheets are usually set up in pad form and the carbon paper attached thereto and when set up in pad form the sheets are successively numbered and if this arrangement is used it will not be necessary for the clerk to insert the number of the sheet at the point 14:.

At the point 15 a date is inserted setting forth when the work is to be done and at the points 16, 17 the name and address of the purchaser is set forth and in the spaces 18, 19 and 20 are arranged the cost of the goods, the amount paid on account and the balance due.

When one orders a hat to be made by a milliner the first thing purchased is the shape and the cost of the same is indicated in the row of spaces 24. The materials used to make up the hat which has velvet, ribbons, flowers, feathers, buckles, wings, have their cost indicated in the rows of spaces 25, to 29 and the total cost of the material is inserted in the row of spaces 80. At the point 81 any suitable data in connection with the hat to be made is inserted. After the foregoing record has been made the clerk enters upon section 4 the symbol, the date of the sale, the cost of the article, cash paid on account, and the name of the purchaser. The section 1 is then torn from the sheet to constitute a receipt slip which is handed to the purchaser. The section 5 is then separated from the section 6 and is sent to the workshop. Section 6 is retained as a record and also checked upon the operator in the workroom. If desired the section 5 can be handed to the purchaser with the receipt slip and the section 6 retained as a work-shop instruction sheet and also a record sheet.

lVhat I claim is A combined receipt and record sheet comprising a flexible body having a plurality of transverse scores to provide a pair of severable sections of equal length and aseverable section of a length less than either of said sections of said pair and connected with one of the latter, said sections of equal length providing respectively a record member and a combined workshop construction and record member, said members adapted to be superposed one upon the other and having complemental conventional means adapted to register when the members are superposed and to constitute respectively a designated space at one corner for the reception of a symbol to indicate the person making the sale, and designated space for the reception of the cost of the materials constituting the purchase, aggregate cost of materials, and other data, the conventional means of said members being on opposite faces with respect to each other and the conventional means of one member being oppositely disposed with respect to the conventional means of the other member, and said section of less width constituting a receipt slip provided with conventional means to constitute suitable designated date receiving spaces. 7

In testimony whereof I affix my signature in presence of two witnesses.

ISRAEL S. BLATTNER.

Witnesses:

LnnLLA H. SIMON, B. E. JENKINS.

Germs of this patent may be obtained for five cents each, by addressing the Commissioner of latent,

Washington, D. G. i 

